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Updated: Jun 11, 2026

Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis
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Falls in Functional Neurological Disorder: Prevalence, Risk Factors and Clinical Implications.

Zahra Mohammadi1, Amirreza Keyvanfar2, Rory Higgins1,3

  • 1Neuroscience and Cell Biology Research Institute, City St George's, University of London, London, UK.

European Journal of Neurology
|June 10, 2026
PubMed
Summary
This summary is machine-generated.

Falls are common in functional neurological disorder (FND), with 62% of patients reporting falls. Absent plantar sensation, pain, and anxiety are key predictors of recurrent falls in motor FND patients.

Keywords:
FNDaccidental fallsfunctional neurological symptom disorderrehabilitation

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Area of Science:

  • Neurology
  • Clinical Neuroscience
  • Rehabilitation Medicine

Background:

  • Functional Neurological Disorder (FND) is a disabling neurological condition characterized by motor impairments like gait disturbance and postural instability.
  • Limited data exists on the prevalence and predictors of falls in individuals with FND.
  • This study addresses the knowledge gap by investigating fall prevalence and associated factors in motor FND.

Purpose of the Study:

  • To determine the prevalence of self-reported falls in adults with motor FND.
  • To identify clinical and demographic factors associated with falling in this population.
  • To inform falls assessment and rehabilitation strategies for individuals with motor FND.

Main Methods:

  • Adults with motor FND were recruited from a UK tertiary neurology center.
  • Participants reported falls in the prior six months and underwent assessments for sensory, mobility, pain, fatigue, depression, and anxiety.
  • Logistic regression analysis identified predictors of recurrent falls (≥2 falls).

Main Results:

  • 62% of 100 participants reported falls, with 56% experiencing recurrent falls.
  • Recurrent fallers exhibited poorer plantar sensation, vibration detection, and higher scores for anxiety, depression, and pain.
  • Absent plantar sensation (OR=5.30), greater pain severity (OR=1.25), and higher anxiety (OR=1.09) independently predicted recurrent falls.

Conclusions:

  • Falls are a frequent occurrence in individuals diagnosed with motor FND.
  • Absent plantar sensation, pain, and anxiety are significant independent predictors of recurrent falls.
  • A multidimensional approach integrating sensory, pain, and psychological assessments is crucial for effective falls management in motor FND.